MR. KEVIN MIRANDOU FNP-CP
NPI 1942826466
Nurse Practitioner - Family in Providence, RI

Q: What is Kevin Mirandou's NPI number?

The NPI number for Kevin Mirandou is 1942826466. It was assigned to this individual provider in the NPPES registry on June 20, 2020.

Q: What is Kevin Mirandou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mirandou was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2020PECOS EnrolledAccepts Medicare Assignment

180 CORLISS ST STE E, PROVIDENCE, RI 02904(401) 793-2928 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2020, Jun 20, 2020 (2 updates tracked since 2020).

On this page

About Mr. Kevin Mirandou Fnp-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN MIRANDOU FNP-CP (NPI 1942826466) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN02408) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942826466

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. KEVIN MIRANDOUCredential: FNP-CP

Location Address180 CORLISS ST STE EProvidence, RI 02904-2602

Mailing Address454 Indian Corner RdSaunderstown, RI 02874-2114

Phone(401) 793-2928

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 20, 2020

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1942826466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in RI · APRN02408✔ Licensed in RI · F06200729

180 CORLISS ST STE E, Providence, RI 02904

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Mirandou Fnp-cp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800206889

PECOS Enrollment IDI20201103000162

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Mirandou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Miriam Hospital

Same address

Medical Specialty

180 CORLISS ST STE E1
Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
45 clinicians in this Medicare group

NPI 1275810434 (401) 793-7401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

74 services43 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

45 services30 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN ANDREW REBELLO FNP-C

Nurse Practitioner (Family)

180 CORLISS ST STE E
PROVIDENCE, RI 02904

Providence County (401) 793-2928

EMMI WEIPERT MASTERS

Social Worker (Clinical)

180 CORLISS ST STE E
PROVIDENCE, RI 02904

Providence County (401) 793-2928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Mirandou's NPI number?

The NPI number for Kevin Mirandou is 1942826466. It was assigned to this individual provider in the NPPES registry on June 20, 2020.

Where is Kevin Mirandou located?

Kevin Mirandou practices at 180 Corliss St Ste E, Providence, RI 02904. The listed phone number is (401) 793-2928.

What is Kevin Mirandou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kevin Mirandou enrolled in Medicare?

Yes. Kevin Mirandou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Mirandou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mirandou reassigns Medicare benefits to The Miriam Hospital (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Mirandou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Mirandou affiliated with any hospitals?

According to CMS data, Kevin Mirandou is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Mirandou was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.